Trexler, Lance

Trexler, Lance is an individual health care provider with primary practice located at 4141 Shore Dr , Indianapolis IN 46254-2607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Trexler, Lance can be contacted via phone (317) 329-2000.

Contact Information

Primary practice address
4141 Shore Dr Indianapolis IN 46254-2607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 20010506A Indiana

Profile Details

NPI number 1720109929
LBN Legal business name Trexler, Lance
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Jul 1st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720109929 NPPES
Indiana Other 016772 SIHO
Indiana Other 000000353205 SIHO
Indiana MEDICAID 100063230 SIHO

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